Psycho-Babble Medication Thread 1055779

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Remeron as an add-on AD?

Posted by Christ_empowered on December 9, 2013, at 7:34:23

I have bipolar I disorder, mostly psychotic depression. Now that 20mgs/Prozac has been working, I realize how deeeeeeply depressed (psychotic features) I've been.

OK. 1200 trileptal, 30 abilify, up to 300 Neurontin, and 20mgs Prozac. Still depressed (anergic), some ocd-ish things going on.

I was thinking...drop the low-dose Neurontin, try 30ish mgs Remeron at night. Sound like a plan?

How do you maintain someone prone to psychotic depression, but also prone to agitation and hypomania (only had 1 severe, psychotic manic episode 6 years ago).

Please help!

Re: Remeron as an add-on AD? » Christ_empowered

Posted by Phillipa on December 9, 2013, at 8:55:48

In reply to Remeron as an add-on AD?, posted by Christ_empowered on December 9, 2013, at 7:34:23

CE didn't abilify work well for you? Are you seeing private or clinic docs now? Phillipa

Re: Remeron as an add-on AD? » Christ_empowered

Posted by ed_uk2010 on December 10, 2013, at 14:50:56

In reply to Remeron as an add-on AD?, posted by Christ_empowered on December 9, 2013, at 7:34:23

>I have bipolar I disorder, mostly psychotic depression. Now that 20mgs/Prozac has been working, I realize how deeeeeeply depressed (psychotic features) I've been.
>
> OK. 1200 trileptal, 30 abilify, up to 300 Neurontin, and 20mgs Prozac. Still depressed (anergic), some ocd-ish things going on.
>
> I was thinking...drop the low-dose Neurontin, try 30ish mgs Remeron at night. Sound like a plan?
>
> How do you maintain someone prone to psychotic depression, but also prone to agitation and hypomania (only had 1 severe, psychotic manic episode 6 years ago).
>
> Please help!

Like you suggested above, Lamictal could help your depression, but would need to be regular. It's not at all like Neurontin, which you could still take PRN if it helps.

Remeron is a useful add-on, but I think it would be unwise to start at 30mg in case you react badly. Perhaps you could try 15mg? You may feel sedated during the day initially.

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